| NPI | 1205123387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFFI KRIKORIAN Owner 314-849-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: MO MDR4P45) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |