| NPI | 1184045619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BELL CFO 855-698-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2070300) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2022-09-23 |