| NPI | 1164219903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MITCHELL BROGAN Owner /Director 973-445-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-08-12 |