NPI | 1194782938 |
---|---|
Former Legal Business Name | UPSTATE VASCULAR STUDY LAB |
Entity Type | Organization |
Authorized Contact | TIFFANY A. BURGEN Office Manager 585-720-0818 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: NY 124377) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2012-02-06 |