| NPI | 1093239204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GENUS President 319-338-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: IA 229920) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2022-07-21 |