| NPI | 1275734535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD GEORGE RISK Owner 508-481-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 47576) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-09-14 |