| NPI | 1205133857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN A ESTIGARRIBIA President 313-277-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 4301038833) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |