| NPI | 1114858545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR HUSSAIN Manager 737-294-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-05-26 |
| Last Update Date | 2026-07-27 |