| NPI | 1568653780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN THOMAS ZAIDAN CEO 248-872-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI JZ069018) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2024-11-15 |