| NPI | 1649503855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A FAULKNER Director 517-371-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1101213) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |