NPI | 1174804546 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON LEE CONEY Owner 888-660-4432 |
Organization Subpart ? | No |
Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2011-08-30 |
Last Update Date | 2011-08-30 |