Great Lake Laboratories LLC

NPI #1477956068 in Caro, Michigan

Provider Information

NPI Number
1477956068
Entity Type
Organization
Organization Name
Great Lake Laboratories LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 27, 2014
Last Updated
Jan 2, 2015

Practice Location

Address
1525 W CARO RD
City
Caro
ZIP Code
48723-9686
Phone
(989) 670-6000

Authorized Official

Name
MR. WAQAR MIAN
Title
MEDICAL DIRECTOR
Phone
(989) 780-4415

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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