| NPI | 1972012326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D LEE President 603-788-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NH 00015) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-07-21 |