| NPI | 1194110734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELO MORALES CEO 844-255-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA 50D2086351) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2017-08-29 |