| NPI | 1588004410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A HOWARD Owner 701-577-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ND 35D0991209) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2017-09-29 |