| NPI | 1215921549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON FOX Owner/President 516-775-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D0912240) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2024-03-29 |