| NPI | 1316206220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM THIBODEAU VP Of Revenue 800-436-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2040778) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2023-09-21 |