| NPI | 1942621560 |
|---|---|
| Doing Business As | MYONSITE DIAGNOSTIC LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MAYANK TRIVEDI Owner 248-881-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 00345114) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2022-09-30 |