| NPI | 1699181669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHISH KOTHANDARAM President & CEO 855-420-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA S4879708) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-03-26 |