| NPI | 1043142276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY L SMITH Owner/Phlebotomist 262-595-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |