Provider Demographics
NPI:1568252807
Name:SHILOH SCREENINGS LLC
Entity type:Organization
Organization Name:SHILOH SCREENINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAJON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-392-3726
Mailing Address - Street 1:23720 DENTON ST APT 11
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3477
Mailing Address - Country:US
Mailing Address - Phone:313-392-3726
Mailing Address - Fax:313-392-3726
Practice Address - Street 1:23720 DENTON ST APT 11
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3477
Practice Address - Country:US
Practice Address - Phone:313-392-3726
Practice Address - Fax:313-392-3726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty