| NPI | 1104607670 |
|---|---|
| Former Legal Business Name | SOLOMON'S LABORATORY AND GENETIC TESTING, LLC |
| Entity Type | Organization |
| Authorized Contact | CAMILLE HUMPHRIES CEO/President 412-304-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |