| NPI | 1306074711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAO V. MOVVA President, Chairman, And Manager 309-762-5560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 02729946) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2015-01-05 |