| NPI | 1508451527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BARTKOWIAK Director Of Administration 315-624-7487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |