| NPI | 1932479516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRACHAK SIRIPRAKORN President 703-491-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 99409418) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-13 |