| NPI | 1083597363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH NGUYEN Owner 346-739-4839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-09-30 |