| NPI | 1205205176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JOHNSON Owner 202-861-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2025-09-03 |