| NPI | 1700329901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYON A. CIPRIANI Authorized Official 346-571-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2034771) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2023-05-31 |