| NPI | 1629360540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CHRISTIAN Supervisor Revenue Cycle PT Account 920-926-5840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2022-12-16 |