| NPI | 1750364345 |
|---|---|
| Doing Business As | DIAGNOSTIC LABORATORIES |
| Doing Business As | TRIDENTCARE |
| Entity Type | Organization |
| Authorized Contact | BRIAN C CUOMO Authorized Official/CFO 007-868-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: CA 043518) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA 205582) |
| 291U00000X Clinical Medical Laboratory | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2024-04-08 |