| NPI | 1659600575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN NOGLER Director 715-735-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52-D0394498) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |