| NPI | 1154730463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J VASQUEZ CEO 515-865-5664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IA 16D2016890) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |