| NPI | 1467993055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MORGESE President 888-708-8807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2041508) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |