NPI | 1235883943 |
---|---|
Entity Type | Organization |
Authorized Contact | JONTELL MARIE JOHNSON Owner 985-713-2270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2022-02-10 |
Last Update Date | 2022-02-25 |