| NPI | 1396894200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J KIRKPATRICK Medical Director 906-227-2355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-03-10 |