| NPI | 1336255538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WORLEY Limited Member/Sole Owner 231-590-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D0981736) |
| Additional Taxonomies | 246R00000X Technician, Pathology |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-04-28 |