| NPI | 1124770516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIK AHMED President 872-235-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-28 |