| NPI | 1407850985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON CONDE Vice President 800-227-0446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 092002) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-04-11 |