| NPI | 1215038310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA BELOTSERKOVSKY President 732-287-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 31D1048389) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MD 18404) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-05-18 |