| NPI | 1285739276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE HENRY HOLSTEN CEO 401-254-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MA 32284) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 32284) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| 291U00000X Clinical Medical Laboratory (Licence: MA 32284) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-03-23 |