| NPI | 1326200338 |
|---|---|
| Former Legal Business Name | WISCONSIN VIRAL RESEARCH GROUP |
| Entity Type | Organization |
| Authorized Contact | KONSTANCE KEHL KNOX CEO 262-574-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2015-04-03 |