Organization
PHADIA US INC.
Active
Organization
PHADIA US INC.
Active
Other names
Phadia Immunology Reference Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PALMERE (VP FINANCE & OPERATIONS)
(269) 492-1959
Entity
Organization
Contact information
Practice address
4169 COMMERCIAL AVE, PORTAGE, MI 49002-9701
(800) 346-4364
(877) 675-4946
Mailing address
4169 COMMERCIAL AVE, PORTAGE, MI 49002-9701
(800) 346-4364
(877) 675-4946
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1088923
MI
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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