| NPI | 1619648664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARITA STRAIT CEO 313-740-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |