| NPI | 1245008366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YARY MORDKOVICH COO 917-903-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-10-22 |