| NPI | 1912444746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GRAHAM Founder 616-304-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D2122926) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |