| NPI | 1851699615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO ABRAMOVSKY Owner 718-979-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 8692) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NY 33D2018148) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2014-02-06 |