| NPI | 1174983266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJA M GIDWANI President/Physician 844-443-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL ME109293) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-04-21 |