| NPI | 1538192224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN FALLANG CEO 937-222-5390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D1033316) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-06-17 |