| NPI | 1710985353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADNAN FAKHOURY AO 603-598-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NH 02731) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NY 30D0970292) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2024-12-11 |