| NPI | 1255400065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJAN YASHAYA Manager 856-768-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 0000855) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |