Organization
PSO LABORATORY LLC
Active
Organization
PSO LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA REEVES (OWNER)
(517) 575-6487
Entity
Organization
Contact information
Practice address
2025 S WASHINGTON AVE, SUITE 202, LANSING, MI 48910-0828
(517) 575-6487
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D2036829
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D2036829
CLIA
MI
Enumeration date
10/12/2012
Last updated
10/12/2012
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