| NPI | 1114873841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSSA AL FAKHOURI Owner 201-582-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-05-04 |