| NPI | 1457436065 |
|---|---|
| Other Name | LAB |
| Entity Type | Organization |
| Authorized Contact | DAVID A. FREY Administrator 607-734-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D0174396) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-02-05 |