| NPI | 1255332714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG DAWSON CEO 718-859-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D0147106) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |