| NPI | 1720403116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOEB AHMAD Owner 855-647-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2024-02-10 |