| NPI | 1326364258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W BANN President 888-472-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D0914817) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-06-29 |