| NPI | 1639590730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A PARKER Manager Of Ar 315-624-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY PFI2205) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |