| NPI | 1659454767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY LEVY Director Owner 732-721-3763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ CLIA31D0125729) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |