| NPI | 1720298292 |
|---|---|
| Doing Business As | PREMIERE DIAGNOSTICS LABORATORY |
| Entity Type | Organization |
| Authorized Contact | SHOBHA STAMPWALA Administrator 586-939-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D0650736) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |