| NPI | 1376958330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN BIERSBACH Owner 276-732-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2017-10-20 |