| NPI | 1801504964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFIQUL ALAM General Partner 248-283-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-04-24 |