| NPI | 1306153093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNADIY VERLOKA President 718-513-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |