| NPI | 1558713313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCE OJEDA CEO 618-717-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 036.100502) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-15 |