| NPI | 1265818926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FARHI Medical Director 754-234-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 036.090871) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |