NPI | 1487988192 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT WEISKIRCHER Owner 208-407-2831 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ID P705) |
Enumeration Date | 2009-09-28 |
Last Update Date | 2009-09-28 |