| NPI | 1902935406 |
|---|---|
| Doing Business As | 121 CENTURY MEDICAL LAB |
| Entity Type | Organization |
| Authorized Contact | FERNANDO HERNANDEZ President 1877-307-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NE 28D1064608) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |