| NPI | 1427458124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER R. CASSON Authorized Rep/Owner 802-655-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VT 47D2079212) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2015-03-02 |