| NPI | 1871596676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW D VANDERHEYDEN Medical Director 563-556-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IA 16D0648073) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-07-29 |