Organization
PRIME TOXICOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAHNAZ JAFFRY (MEMBER)
(800) 901-9077
Entity
Organization
Contact information
Practice address
28266 FRANKLIN RD STE B, SOUTHFIELD, MI 48034-1659
(800) 901-9077
(800) 980-4077
Mailing address
28266 FRANKLIN RD STE B, SOUTHFIELD, MI 48034-1659
(800) 901-9077
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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