| NPI | 1366808388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD POGORZELSKI CEO 800-532-7092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2008896) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-03-17 |