| NPI | 1982840179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYAPRAKASARAO KONIJETI Owner 812-478-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D1048961) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |