| NPI | 1154718930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MILLIGAN CEO/Laboratory Director 888-398-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |