| NPI | 1831222595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAKOB KARL PONGSPIKUL President 636-978-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D0691515) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-06-04 |