| NPI | 1104196484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WILLIAMS VP 800-222-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00337236) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2014-02-24 |