| NPI | 1336407006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LYDIA KIMMEL Owner/Associate Laboratory Director 313-836-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D2035755) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |