| NPI | 1780631325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL HOLLANDER Officer 810-232-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2024-07-29 |