| NPI | 1871920645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKOLAS MITILENES Chief Executive Officer 908-723-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 0007308) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |