| NPI | 1104977743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THAO Respiratory Therapist 702-878-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV RC346) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |