| NPI | 1740353853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DUNN CEO 631-751-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 7948) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 800026179) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-10-15 |