| NPI | 1164925012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J PATTON Manager Provider Enrollment 585-922-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-06-29 |