Organization
PRISM TRIANGLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RUEFIEL (ADMINSTRATOR)
(248) 841-4101
Entity
Organization
Contact information
Practice address
130 HAMPTON CIR STE 110, ROCHESTER HILLS, MI 48307-4113
(248) 841-4101
Mailing address
130 HAMPTON CIR STE 110, ROCHESTER HILLS, MI 48307-4113
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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