| NPI | 1568483535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS J KHABBAZA Laboratory Director 631-424-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 7402) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-09-29 |