| NPI | 1689969123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARD ABDULIN Owner 787-662-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 40D2021126) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |