Organization
HISTODIAGNOSTIC LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R HALL MD (PRESIDENT)
(989) 345-1387
Entity
Organization
Contact information
Practice address
150 N BURGESS ST, WEST BRANCH, MI 48661-1106
(989) 345-1387
(989) 345-2591
Mailing address
150 N BURGESS ST, WEST BRANCH, MI 48661-1106
(989) 345-1387
(989) 345-2591
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
4301030046
MI
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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