Organization
PONTIAC LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MICHEAL DAMRON (GENERAL COUNSEL)
(678) 640-9664
Entity
Organization
Contact information
Practice address
461 W HURON ST, SECOND FLOOR LAB, PONTIAC, MI 48341-1601
(248) 857-7200
(248) 857-6905
Mailing address
461 W HURON ST, SECOND FLOOR LAB, PONTIAC, MI 48341-1601
(248) 857-7200
(248) 857-6905
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D0685754
MI
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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