| NPI | 1811232523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DAVID SCHULTZ Principle Owner/ Dir. Of Marketing 443-716-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |