| NPI | 1396341061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI NICOLE WELZIN Assistant Operations Manager 313-953-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-10 |