| NPI | 1902338171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LYDIA KIMMEL Administrator 313-826-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 4704260062) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |