| NPI | 1770707002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE BUCHHOLZ Office Manager 605-936-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AK AK 4229) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-05-04 |