| NPI | 1548434889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PAUL EVENSON President/Director 605-692-5938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SD 43D0975076) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |