| NPI | 1841120912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA JOHNSON State Certified Phlebotomist 313-889-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2026-05-21 |
| Last Update Date | 2026-05-21 |