| NPI | 1518356435 |
|---|---|
| Doing Business As | PREMIERTOX LAB ALBANY |
| Entity Type | Organization |
| Authorized Contact | STEVEN E KLIPP President 270-866-8854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY KY22016860) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-05-08 |