| NPI | 1770909319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE LYNN DANDO Business Office Manager 269-337-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2019-12-05 |