| NPI | 1376910018 |
|---|---|
| Former Legal Business Name | ADVANCED DIAGNOSTICS LLC |
| Entity Type | Organization |
| Authorized Contact | KYLE JOSEPH KOEPPLER CEO 920-217-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2019-05-23 |