| NPI | 1972966075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHAKAR VARMA VP 231-343-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 45678914566) |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2022-07-21 |