| NPI | 1750649927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S MARTINS CEO 754-779-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2035945) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2013-07-23 |