| NPI | 1396837340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL MONTES President 541-664-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D1000455) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-05-15 |