| NPI | 1326051681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PETERS Owner 802-257-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VT 4468) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-07-15 |