| NPI | 1871821124 |
|---|---|
| Doing Business As | CLINICAL LABORATORY CENTER |
| Entity Type | Organization |
| Authorized Contact | IBTIHAJ AWADELKARIEM Owner 571-313-0542 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2010-03-26 |