| NPI | 1659790905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN STOFER President & COO 857-282-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 3152) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-12-22 |