| NPI | 1366690539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEY AMELCHENKO CEO 985-377-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19d1087465) |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2008-08-30 |