Cascade Medical Testing Lab, Inc.
NPI #1760557375 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1760557375
- Entity Type
- Organization
- Organization Name
- Cascade Medical Testing Lab, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ROBERT DEJONGE
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Oct 19, 2007
Practice Location
- Address
- 2251 E PARIS AVE SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-2431
- Phone
- (616) 956-6090
Authorized Official
- Name
- MR. ROBERT DEJONGE, MD
- Title
- PRESIDENT
- Phone
- (616) 956-6090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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