| NPI | 1326482910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN FOSSUM Chief Compliance Officer/Principal 888-644-0030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2017-07-20 |