| NPI | 1013667179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANDA WELLS Owner 347-737-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |