| NPI | 1114265626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN SHISHLER Director Of Regulatory Affairs 877-221-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |