| NPI | 1093403321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LORRAINE ROSS Phlebotomist/Owner 920-340-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |