| NPI | 1952716987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ARON CHERRY Owner/Vice President 920-469-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 456-0000179711-03) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2014-06-28 |