Organization
GREAT LAKES RESEARCH INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ALEXANDRIA (HEALTHCARE CONSULTANT)
(313) 920-5522
Entity
Organization
Contact information
Practice address
20755 GREENFIELD RD, SOUTHFIELD, MI 48075-5403
(248) 864-5242
Mailing address
20755 GREENFIELD RD, SOUTHFIELD, MI 48075-5403
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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