| NPI | 1245937325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WASKIEWICZ Lead Credentialing And Contract COO 616-607-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-09-27 |