| NPI | 1962579235 |
|---|---|
| Other Name | IBR SPECIALTY CLINICAL LABORATORIES |
| Entity Type | Organization |
| Authorized Contact | EDMUND C. JENKINS Lab Director 718-494-5236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 7097M040) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-02-25 |