| NPI | 1841203429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHISH KOTHANDARAM President & C.E.O 855-420-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 121-058) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2017-10-08 |