| NPI | 1578628889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L BANER President & Clinical Director 609-567-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 00006367) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA02774400) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-04-17 |