| NPI | 1467793208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURIFICACAO TAVARES CEO 973-623-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA COS00800249) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |