| NPI | 1649765660 |
|---|---|
| Doing Business As | SPARK LABORATORY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER JAY WECHSLER Owner 201-406-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-04-18 |