| NPI | 1104996248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMO BALIGO Controller 718-781-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33d0147106) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-01-29 |