| NPI | 1285625996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D. EADLINE President 315-798-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 47440) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2021-06-11 |