| NPI | 1134142631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN G RANDALL CFO 513-454-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-02-06 |