| NPI | 1578937496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOGE D KOFINAS President 718-780-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D0979838) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2021-06-24 |