| NPI | 1821110453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINA GOLUB Manager 917-538-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D1020120) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-10-25 |