| NPI | 1629455902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA DE LEON-SOBIER Owner 907-231-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AK 1016661) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |