| NPI | 1730585456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARR Authorized Official 917-515-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2085972) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2024-10-11 |