| NPI | 1497970248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL VALLERA CEO Owner 402-339-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: RI LCI00482) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |