| NPI | 1609163088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC STOCKALL Owner 517-349-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 4301046439) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |