| NPI | 1215692728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATREVA DOGAN Owner/Administrator 864-517-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |