Organization
FIRST CHOICE DNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN BEAVERS (CEO)
(313) 306-7973
Entity
Organization
Contact information
Practice address
24100 SOUTHFIELD RD STE 320J, SOUTHFIELD, MI 48075-2865
(313) 306-7973
Mailing address
24100 SOUTHFIELD RD STE 320J, SOUTHFIELD, MI 48075-2865
(313) 306-7973
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/30/2023
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