| NPI | 1700860962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMLAL MANGRAY President 614-722-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0665271) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 36D0665271) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-06-30 |