| NPI | 1003023888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE PARK Vice President 631-242-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 101193) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |