Organization
PROFESSIONAL LAB TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANGIE EUREKA GARNER (OWNER)
(248) 443-2869
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR STE 371, SOUTHFIELD, MI 48075-5228
(248) 443-2869
(248) 443-2902
Mailing address
16250 NORTHLAND DR STE 371, SOUTHFIELD, MI 48075-5228
(248) 443-2869
(248) 443-2902
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MI
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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