| NPI | 1891889275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEI VAJENINE Medical Director 586-943-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 34275R) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |