| NPI | 1174128433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD MICHAEL WOLBERS President And Chief Executive Offic 563-589-2414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |