| NPI | 1952621310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS NGOZI IBEZIM President 973-619-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 31D1106597) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |