| NPI | 1285811174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL MORAN CEO 716-688-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 291U00000X) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |