NPI | 1245462258 |
---|---|
Doing Business As | GULF COAST CATH LAB |
Entity Type | Organization |
Authorized Contact | KELLY MARIE BEMIS Authorized Official 858-504-5667 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2009-08-10 |
Last Update Date | 2023-11-09 |