| NPI | 1407246887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORAN JANDJEL C.O.O. 754-222-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2087683) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |