| NPI | 1275876591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN MILLER CEO 518-598-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL L13000030595) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2014-03-04 |