| NPI | 1497160907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE KWAKU AGYEKUM CEO/President 267-966-8447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |