| NPI | 1700039435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS NGOZI IBEZIM President & Director 973-619-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD CLIA ID 33D1034578) |
| Enumeration Date | 2008-10-26 |
| Last Update Date | 2009-02-13 |