| NPI | 1902115314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM M CORMACK President 866-446-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15d0935056) |
| Enumeration Date | 2010-10-03 |
| Last Update Date | 2010-10-07 |