| NPI | 1932381159 |
|---|---|
| Doing Business As | IKONISYS CLINICAL LABORATORIES |
| Entity Type | Organization |
| Authorized Contact | ROBERT J. WALAT Medical Director 203-776-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-04-08 |