| NPI | 1972957264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDINASIR AHMED President 6122-227-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MN 851814900038) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |