| NPI | 1083920904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMED RAKHMANOV CEO 402-218-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NE 06D1003719) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |