| NPI | 1568629186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KOPIC Accountant 800-558-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D0994567) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |