| NPI | 1609114404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER E ISTOMIN MD Laboratory Director 401-622-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |