| NPI | 1609212760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MITCHELL CEO 248-702-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2016-09-25 |