| NPI | 1467805952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GROSS President 718-501-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 2740420) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |