| NPI | 1518098235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR REYES BARISO President 718-592-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D0713273) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-05-29 |