| NPI | 1013678358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DARBY Owner 313-613-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-01-11 |