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Organization

GARCIA CLINICAL LABORATORY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY GARCIA (PRESIDENT)
(517) 787-9200
Entity
Organization

Contact information

Practice address
2195 SPRING ARBOR RD, JACKSON, MI 49203-2797
(517) 787-9200
(517) 787-1249
Mailing address
2195 SPRING ARBOR RD, JACKSON, MI 49203-2797
(517) 787-9200
(517) 787-1249

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3520001
PHYSICIANS HEALTH PLAN
MI
01
690C81502
BCBS OF MICHIGAN ID
MI
Enumeration date
12/28/2005
Last updated
04/20/2008
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