| NPI | 1568994879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ELIAS President 248-301-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 291U00000X) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-03-18 |