| NPI | 1972648228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA GUTNIK Lab Director 718-332-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY CLIA33D0988305) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |