Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laquitta Tyisha Bosley

Individual provider Technician/Technologist · NPI 1730857228

Laquitta Tyisha Bosley is a Technician/Technologist in Southgate, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1 Heritage Dr Ste 100
Southgate, MI 48195-3047
Phone: (734) 767-2250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1730857228
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

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