| NPI | 1386864080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART A GENSCHAW Chief Executive Officer 616-977-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-03-11 |