| NPI | 1225424294 |
|---|---|
| Former Legal Business Name | INNOVATIVE LABORATORY SERVICES INC |
| Entity Type | Organization |
| Authorized Contact | AARON DOMENICO COO 267-525-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 39D2069737) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2020-02-20 |