| NPI | 1013253053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL E LAKER President 541-605-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D2039090) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |