NPI | 1033665450 |
---|---|
Doing Business As | INNOVATIVE HEALTH LABS |
Entity Type | Organization |
Authorized Contact | TIM KARTISEK Billing Supervisor 443-371-7749 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 21D2117103) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2016-08-26 |