| NPI | 1922621614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER-ROSE MATTIAS Director Contract Administration 401-921-8535 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |