| NPI | 1023563764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN DEOLIVEIRA CEO 424-306-2184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2117052) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-06-21 |