| NPI | 1396833026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE Y ROFFMAN President 402-731-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NE 28D0652608) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |