| NPI | 1821740572 |
|---|---|
| Former Legal Business Name | MOLECULAR MICROBIOLOGY LAB |
| Entity Type | Organization |
| Authorized Contact | OMAR M IDLIBI Md 980-721-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-05-31 |