| NPI | 1528382991 |
|---|---|
| Other Name | ENVISION LAB |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE Managing Member 248-348-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2021-02-01 |