| NPI | 1316997794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN EVANGER Owner 907-458-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AK 29784) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-12-09 |