| NPI | 1841697398 |
|---|---|
| Doing Business As | RENEW LABS |
| Entity Type | Organization |
| Authorized Contact | EUGENE SISCO Managing Member 606-653-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2019-02-25 |