| NPI | 1679190326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARSHAD JAVAID Director 347-771-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 305S00000X Point of Service | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-01-16 |