| NPI | 1164766986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMUR TANKHOYEV Offica Manager 917-572-4297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D2034114) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |