| NPI | 1215236369 |
|---|---|
| Other Name | GRAND RAPIDS CENTER FOR HEALTHY LIVING |
| Entity Type | Organization |
| Authorized Contact | KERI TOPOUZIAN Director 616-285-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 5101008226) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |