| NPI | 1366836066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRITZ MAIGNAN Owner 203-870-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT 07D2023800) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |