Evergreen Diagnostics
Clinical Medical Laboratory in Lansing, MI(View on Map)
Legal Business Name
Evergreen Diagnostics
NPI Number
1649503855
NPI Type
Organization
Enumeration Date
09/08/2009
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
23D1101213
Contact
Information
Purpose
Mailing
Location
Address
2025 S WASHINGTON AVE
2025 S WASHINGTON AVE
City
Lansing
Lansing
State
MI
MI
Postal Code
48910-0828
48910-0828
Country
US
US
Telephone Number
(517) 371-1111
(517) 371-1111
Authorized Official
Name
Mr. Thomas Faulkner
Title or Position
DIRECTOR
Telephone Number
(517) 371-1111
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/08/2009
Provider Address
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