| NPI | 1780640490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIN TJOTA Laboratory Director 716-639-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 49181421A170) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |