| NPI | 1568744886 |
|---|---|
| Doing Business As | DIAGNOSTIC LABORATORIES |
| Doing Business As | TRIDENTCARE |
| Entity Type | Organization |
| Authorized Contact | BRIAN C CUOMO Authorized Official/CFO 007-868-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2028785) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2024-02-08 |