| NPI | 1780197525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A LARKIN Owner 973-420-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV 8272-LIC-1) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |