| NPI | 1003953019 |
|---|---|
| Doing Business As | NORTHREACH LAB |
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-445-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 52D0394498) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WI 52D2088280) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-04-16 |