| NPI | 1114140571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE STACEY Treasurer 608-284-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D1027685) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-04-11 |