| NPI | 1700993938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CAROL PARKER Owner 907-222-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AK 02d1051016) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |