| NPI | 1215320726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A SMITH Chairman 800-717-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2085583) |
| Enumeration Date | 2015-03-08 |
| Last Update Date | 2015-03-08 |