| NPI | 1780041475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS DE ESCOBAR Owner 203-757-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT MD971566) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |