| NPI | 1427503101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISE VALENTINE Medical Director 248-890-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 291U00000X) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2017-05-12 |