| NPI | 1184861353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAQSOOD AHMED Owner 877-708-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC C200823900174-1) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2018-03-17 |