| NPI | 1437271301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W OPP Clinic Administrator 605-225-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SD 1379) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-01-28 |