| NPI | 1902824964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BOWLES Vice President 866-697-8378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D0274847) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-12-30 |