| NPI | 1174762264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E STAGER Manager 262-542-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D1062818) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |