| NPI | 1396936050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BOWLES Vice President 866-697-8378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 01D0893715) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2022-11-06 |