| NPI | 1316087885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RICE WILLETT President 920-294-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 17659) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |