| NPI | 1093339970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL BOGER CEO 231-886-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-09-07 |