| NPI | 1124137179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ASFAW Owner 313-871-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 039079) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |