| NPI | 1053109710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNKNOWN MOHAMMED MOHIUDDIN AHMED Manager/President 872-331-8174 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |