| NPI | 1063866366 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KASSAHUN TEFERA CEO 202-413-1092 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: DC 09D1087026) | 
| Enumeration Date | 2016-04-22 | 
| Last Update Date | 2016-04-22 |