| NPI | 1093765851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA ROELLE Director Of Credentialing 614-689-1691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-08-20 |