| NPI | 1669850186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAIRA ALJAJAWI Manager 248-703-1157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 06405L) |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2015-05-16 |