| NPI | 1972909224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEPI MAHOOTI President & C.E.O 203-506-7862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 00345706) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |