| NPI | 1457168098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON STABACK CEO 732-991-6579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |