| NPI | 1912303819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA PORETSKAYA Owner 551-574-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NJ 25MA08695400) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |