| NPI | 1881841120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON DOMENICO COO 267-525-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 024997) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2016-11-03 |