| NPI | 1265600936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA DE LEON Owner 907-830-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AK 907046) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |