| NPI | 1568839173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDR ZAITSEV President 862-703-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 31D2109691) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2018-11-20 |