| NPI | 1396137162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PETERSON President 1866-928-9877 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027595) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-04-06 |