| NPI | 1235465675 |
|---|---|
| Doing Business As | FOUNTAIN VIEW OF GRANT - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MURPHY Secretary / Treasurer 616-464-1564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D0975379) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |