| NPI | 1013854884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATASAIPAVA K GURRAM Owner/Authorized Officials 248-916-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-04-30 |