| NPI | 1275460313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHVAIZ KHAN Manager 681-269-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-06 |