| NPI | 1770284820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRILL JORDAN President 201-510-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology |
| 207ZI0100X Pathology, Immunopathology | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-04-21 |