Organization
MJ COLLECTIONS
Active
Other names
MJ DRUG DNA TESTING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RENEE PUPILLO CPCT (PRESIDENT)
(219) 713-4630
Entity
Organization
Contact information
Practice address
8924 WHITE OAK AVE, SUITE 6, MUNSTER, IN 46321
(219) 713-4630
Mailing address
1418 E 85TH AVE, MERRIVILLE, IN 46310
(219) 713-4630
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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