| NPI | 1255478368 |
|---|---|
| Other Name | MJ DRUG DNA TESTING SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE PUPILLO President 219-713-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |