| NPI | 1184497059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS ANDRIANA NELSON Phlebotomist 773-732-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-06 |