| NPI | 1992952097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISA BARGAINER Medical Billing Supervisor 313-850-8435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MI SK062464) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-26 |