NPI 1013598721

Advantage Dx

Organisation Contractor Wayland, MI

Practice location

Address: 194 Novi Pl, Wayland, MI 49348-9800
Phone: (616) 900-8410
Fax: (833) 377-4155
Mailing address: PO Box 277, Dorr, MI 49323-0277

Authorised official

Name: Morgana Graham
Title: President
Phone: (616) 900-8410

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1013598721
Entity type: Organization
NPI issued: 15 Apr 2021
Record last updated: 15 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.