| NPI | 1073549663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT SHERMAN Chief Financial Officer 866-776-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800017185) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-03-22 |