| NPI | 1881784734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A REICHARDT Laboratory Director 231-728-5758 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CLIA23D0651019) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CAPLAP2524601) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AUID1037588) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-10-23 |