Organization
WESTSTAR MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. SMITH EDD (PRINCIPAL)
(574) 532-2780
Entity
Organization
Contact information
Practice address
4717 CAMPUS DR, KALAMAZOO, MI 49008-5601
(800) 717-6390
(800) 717-6390
Mailing address
53444 ASH RD, GRANGER, IN 46530-5025
(800) 717-6390
(800) 717-6390
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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