| NPI | 1003550856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA EGWIM President 612-232-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 202K00000X Phlebology |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |