| NPI | 1124269717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN DAVIDOFF Executive Medical Director 877-608-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2021-11-02 |