| NPI | 1063539062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN NEUENDORFF President 330-721-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: OH RCP 1458) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |