| NPI | 1285890723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN J O'BOYLE Owner 414-248-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D0973993) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |