| NPI | 1467723502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WON K LEE Director 616-419-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D2034749) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2013-01-23 |