| NPI | 1487780565 |
|---|---|
| Other Name | IMMUNOGENETICS LAB |
| Entity Type | Organization |
| Authorized Contact | KAREN L. ROMIG Provider Enrollment 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-06-07 |