| NPI | 1013514884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAQUESIA JOHNSON Owner 510-224-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-04-18 |