| NPI | 1043535263 |
|---|---|
| Doing Business As | VAN WAGNER IMMEDIATE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW UKLEJA President 702-522-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV 29d1088252) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |