| NPI | 1093749087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GUDAITIS President 732-777-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 00006219) |
| Additional Taxonomies | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-12-04 |