| NPI | 1114318813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CATONE Owner 803-767-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2023-08-24 |