| NPI | 1124779772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARDE SWINTON Member 844-446-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |