| NPI | 1649390261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGIE EUREKA GARNER Owner 248-443-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1018497) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |