| NPI | 1912627480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OLIVERO Medical Director 814-499-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |