| NPI | 1699176768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A VIRAG CFO 866-776-5907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00346265) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2018-06-11 |