Life- Alysis Kidney Center, LLC
NPI #1255442190 in Detroit, Michigan
Provider Information
- NPI Number
- 1255442190
- Entity Type
- Organization
- Organization Name
- Life- Alysis Kidney Center, LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jan 23, 2013
Practice Location
Authorized Official
- Name
- MR. LYLE MARUICE GRAY
- Title
- PARTNER
- Phone
- (313) 371-5433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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