Healthcare Provider Details

I. General information

NPI: 1811820046
Provider Name (Legal Business Name): 316 DNA LABORTORY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19191 COLLINSON AVE
EASTPOINTE MI
48021-4709
US

IV. Provider business mailing address

19191 COLLINSON AVE
EASTPOINTE MI
48021-4709
US

V. Phone/Fax

Practice location:
  • Phone: 734-312-8995
  • Fax:
Mailing address:
  • Phone: 734-312-8995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BARBARA BELLAMY
Title or Position: CEO
Credential:
Phone: 734-312-8995