| NPI | 1306198478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA REEVES Owner 517-575-6487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D2036829) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |