| NPI | 1417262643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D BROBYN President 877-437-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D1047326) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |