Prime Laboratory, LLC
NPI #1023556016 in Southfield, Michigan
Provider Information
- NPI Number
- 1023556016
- Entity Type
- Organization
- Organization Name
- Prime Laboratory, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Feb 9, 2017
- Last Updated
- Feb 9, 2017
Practice Location
- Address
- 28266 FRANKLIN RD
- Address 2
- SUITE A
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48034-1659
- Phone
- (855) 996-2666
Authorized Official
- Name
- MAHNAZ JAFFRY
- Title
- MANAGING MEMBER
- Phone
- (855) 996-2666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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