| NPI | 1093111312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MILLS CEO 347-901-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 22D2084314) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |