| NPI | 1649924101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQINYA JACKSON Phlebotomist 313-447-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |