| NPI | 1467850859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN PATRICK O'BRIEN CEO 877-895-8658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 23066) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2019-12-06 |