Organization
PHYSICIANS TOXICOLOGY LABORATORY, LLC
Active
Organization
PHYSICIANS TOXICOLOGY LABORATORY, LLC
Active
Other names
Affirmatox, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RYAN LUND (PRESIDENT)
(239) 269-0035
Entity
Organization
Contact information
Practice address
4433 MANCHESTER RD., KALAMAZOO, MI 49001
(239) 213-1600
(239) 213-1940
Mailing address
801 LAUREL OAK DR, STE. 102, NAPLES, FL 34108-2748
(239) 213-1600
(239) 213-1940
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MI
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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