| NPI | 1164651618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L. MCCORMICK Owner/CEO 248-307-1168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1047507) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2014-11-20 |