| NPI | 1043852932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA ALLI Sr. Manager 618-997-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-07-11 |