Universal Dermatopathology Lab, Pllc

NPI 1467723502 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1467723502
Enumeration Date 01/20/2012
Last Updated 01/23/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name WON K WON
Position DIRECTOR
Phone (616) 419-3607
Fax (616) 419-3679
Practice Location
2650 HORIZON DR SE
SUITE 233
GRAND RAPIDS MI, 49546-7519, US
Phone (616) 419-3607
Fax (616) 419-3679
Business Location
2650 HORIZON DR SE
SUITE 233
GRAND RAPIDS MI, 49546-7519, US
Phone (616) 419-3607
Fax (616) 419-3679
Toxanomy
Taxonomy Code 291U00000X
License State Michigan
License Number 23D2034749
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According to our database, Universal Dermatopathology Lab, Pllc NPI is 1467723502, taxonomy code is 291U00000X and license number is 23D2034749, license state is located at Michigan. Universal Dermatopathology Lab, Pllc physically located at 2650 Horizon Dr Se, Grand Rapids MI, 49546-7519. NPI Number 1033115704 has the healthcare provider type.

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1467723502 NPI number is provided on an as is basis without warranty of any kind. 1467723502 is maintained by the National Plan & Provider Enumeration System. The contents of Universal Dermatopathology Lab, Pllc are for informational purposes only.