| NPI | 1033726633 |
|---|---|
| Former Legal Business Name | SHORES DIAGNOSTIC LLC |
| Entity Type | Organization |
| Authorized Contact | NORMA JEAN BARRETT Billing Manager 734-730-7579 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |