| NPI | 1245744945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDESHIR KHADANG Vice President, Bioanalytical Op 218-284-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |