| NPI | 1194208769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDI STARR ALONG Owner/Clinical Lab Associate 734-686-7839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |