| NPI | 1720216559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JORDAN Chief Operating Officer 877-734-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: RI LCI 00343) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |