| NPI | 1861615874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIS PATZER Executive Director 414-290-0418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 2133-800) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-30 |