| NPI | 1013295740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI ZIVKO PITOVSKI CEO 843-747-4294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D2043357) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2013-07-10 |