Organization
PRISM LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RUEFIEL (MANAGER)
(248) 250-3625
Entity
Organization
Contact information
Practice address
130 HAMPTON CIR STE 110, ROCHESTER HILLS, MI 48307-4113
(248) 722-3867
Mailing address
130 HAMPTON CIR STE 110, ROCHESTER HILLS, MI 48307-4113
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/10/2018
Last updated
11/10/2018
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