| NPI | 1144680885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M HOEFNER President, Lab Director 844-725-8365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 49D2072312) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2020-08-25 |