Organization
EVERIST GENOMICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI THEISEN (GENERAL MANAGER)
(734) 929-6305
Entity
Organization
Contact information
Practice address
709 W ELLSWORTH RD, ANN ARBOR, MI 48108-3371
(734) 929-6302
(734) 929-9501
Mailing address
709 W ELLSWORTH RD, ANN ARBOR, MI 48108-3371
(734) 929-6302
(734) 929-9477
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D20178
MI
Other
Enumeration date
11/04/2011
Last updated
01/18/2013
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