| NPI | 1730105719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L DEPOMPOLO Business Manager 269-969-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D30377486) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-06-28 |