| NPI | 1982681557 |
|---|---|
| Doing Business As | PATHOLOGY LABORATORY |
| Entity Type | Organization |
| Authorized Contact | RACHEL CORNELL Business Manager 616-530-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 207ZC0500X) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |