| NPI | 1518315894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY KAY ALVARADO-SMITH Operations Manager 800-657-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-01-14 |