| NPI | 1215181458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS RUSSO CEO 212-659-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |