| NPI | 1114812922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMZA ABBASI Manager 351-252-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-07-28 |