| NPI | 1376090399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINE JACQUES Mgr 754-366-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2115859) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |