| NPI | 1023338977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R KRANER Lab Director 866-678-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D1081726) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |