| NPI | 1245309111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA PESTUN President 718-229-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D0149650) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-04-29 |