| NPI | 1255571428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIANYOU TAN President 718-321-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 212597) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2015-04-23 |