Organization
MIDWEST REFERENCE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ERNST (BUSINESS MANAGER)
(248) 619-9771
Entity
Organization
Contact information
Practice address
2001 CAMPBELL STATION PKWY, SUITE C-1, SPRING HILL, TN 37174-7417
(248) 619-9771
Mailing address
363 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-5220
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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