| NPI | 1265853519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOHNSON President/CEO 716-856-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY LAP72132) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2016-04-19 |