| NPI | 1124981477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA CHISHTI Owner 888-651-3854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-04 |