Organization
PHS LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE EDWARDS PHD (AUTHORIZED OFFICIAL)
(425) 606-5304
Entity
Organization
Contact information
Practice address
2885 SANFORD AVE SW # 23719, GRANDVILLE, MI 49418-1342
(425) 606-5304
Mailing address
2885 SANFORD AVE SW # 23719, GRANDVILLE, MI 49418-1342
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
85278204
NC
Other
Enumeration date
05/10/2014
Last updated
05/10/2014
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