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Organization

PRIME LABORATORY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHNAZ JAFFRY (MANAGING MEMBER)
(855) 996-2666
Entity
Organization

Contact information

Practice address
28266 FRANKLIN RD, SUITE A, SOUTHFIELD, MI 48034-1659
(855) 996-2666
(888) 679-1304
Mailing address
28266 FRANKLIN RD, SUITE A, SOUTHFIELD, MI 48034-1659
(855) 996-2666
(888) 679-1304

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
02/09/2017
Last updated
02/09/2017
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