| NPI | 1699268920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BIEDA Owner 888-440-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800029022) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-06-21 |