| NPI | 1356747299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BAKOTIC CFO 855-422-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2081709) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2022-12-15 |