| NPI | 1710009626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO GONZALEZ President 609-647-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 25MA07983800) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |