| NPI | 1881996775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE SEDRAKYAN Medical Director 267-978-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 39D2016029) |
| Enumeration Date | 2010-11-26 |
| Last Update Date | 2010-11-26 |