| NPI | 1083325641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIJAZ MOHAMMED President 820-203-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-08-01 |