| NPI | 1063433860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY THREATTE President 315-464-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY PFI3697) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |