| NPI | 1023765385 |
|---|---|
| Doing Business As | EPICWAVE LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MARC BENEDICT ENRIQUEZ BERNALDEZ Owner 800-961-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2024-08-09 |