| NPI | 1649141193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETAGALE ANASTASIA OSBOURNE Partner/Organizer 347-842-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |