| NPI | 1861858763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN JAGLINSKI Lab Manager 414-368-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D2053574) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |