| NPI | 1912143736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER DESCHWEINITZ Owner 541-890-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 200932934) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |