Organization
8 MILE LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH EVANS (MANAGING MEMBER)
(270) 570-1075
Entity
Organization
Contact information
Practice address
24525 SOUTHFIELD RD, SUITE 207, SOUTHFIELD, MI 48075-2740
(248) 234-8679
Mailing address
1010 ALLEN ST, SUITE 203, OWENSBORO, KY 42303-3025
(270) 570-1075
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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