| NPI | 1780010272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ST. JEOR Owner 775-358-0652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV NV20031054361) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |