| NPI | 1720866718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE FARRIS-BOSTON CEO/Business Owner 171-379-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |