| NPI | 1659240158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MANSI Director Of Operations 248-818-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-17 |