| NPI | 1861917239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA E CARPENTER CEO 201-563-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-09-01 |