Provider Demographics
NPI:1700120938
Name:ARK LABORATORY LLC
Entity Type:Organization
Organization Name:ARK LABORATORY LLC
Other - Org Name:HELIX DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-275-5221
Mailing Address - Street 1:6620 HIGHLAND RD.
Mailing Address - Street 2:SUITE 240
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1682
Mailing Address - Country:US
Mailing Address - Phone:888-275-5221
Mailing Address - Fax:888-275-5224
Practice Address - Street 1:6620 HIGHLAND RD.
Practice Address - Street 2:SUITE 240
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1682
Practice Address - Country:US
Practice Address - Phone:888-275-5221
Practice Address - Fax:888-275-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory