| NPI | 1992929285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KEPLINGER CFO 307-324-8347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WY 53D0662176) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-06-15 |