OrganizationActive
Banyan Sober Living of Michigan
NPI 1245650035 · Clinical Medical Laboratory · Ypsilanti, MI
Provider details
- NPI number
- 1245650035
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Mackenzie Koonce, Coo(231) 233-8474
Specialties & taxonomies
Laboratories
Practice location
1023 Washtenaw Rd
Ypsilanti, MI 48197-2161
Phone: (231) 233-8474
Fax: (734) 264-0732
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 272
Milford, MI 48381-0272
Registry dates
- Enumerated
- 2014-04-21
- Last updated
- 2014-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.