| NPI | 1003073891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIATCHESLAV SAPOZHNIKOV President 228-313-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25d1084090) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |