| NPI | 1619311321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L HOLLINGSWORTH Director 608-755-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D2055176) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |