| NPI | 1720472889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNGHYUN KIM Laboratory Technical Supervisor 301-251-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 2026) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA COS00800505) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |