| NPI | 1073686846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOZAFAR SALEKI Laboratory Director 262-240-5443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D1052598) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |