| NPI | 1215709415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITANY MILLER Owner 800-794-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Q00000X Spec/Tech, Pathology |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |