| NPI | 1144671223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED ROCHWERG Authorized Person 917-817-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 21975) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |