| NPI | 1427429372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL THOMAS Owner 307-241-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 24D2102777) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-11-16 |