| NPI | 1346307774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C SMITH Director 701-857-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ND 3135) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-04-23 |