| NPI | 1538270772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RUST Executive Director 402-465-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NE 28D0944195) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-01-17 |