| NPI | 1104216605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SOBEL Owner 347-210-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2020-12-22 |