| NPI | 1932236148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART E WOLFSON Medical Director 502-589-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200241) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-03-10 |