| NPI | 1811203367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J KING Owner, Director 920-434-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 2312-012) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |