| NPI | 1235523671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATESHA MATHIS Owner 586-298-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247000000X Technician, Health Information |
| Additional Taxonomies | 251S00000X (Licence: MI E5849W) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2021-12-25 |