| NPI | 1356651574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISAEL GONZALEZ CEO 502-326-5845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 18D1066325) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |