| 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 |