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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