| NPI | 1780120709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KERSTEN REISENAUER Lab Director/Owner 808-264-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: HI 12D2120536) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2022-07-21 |