Organization
VIBRA OF SOUTHEASTERN MICHIGAN, LLC
Active
Other names
Vibra Health Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT T FEGAN (SEC/TREASURER)
(717) 591-5700
Entity
Organization
Contact information
Practice address
1307-A ALLEN DRIVE, TROY, MI 48083-4010
(248) 846-0663
Mailing address
1307-A ALLEN DRIVE, TROY, MI 48083-4010
(248) 846-0663
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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