| NPI | 1881357192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ALEXANDRIA Healthcare Consultant 313-920-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |