| NPI | 1285448522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ABDUL QAYYUM SIDDIQUI President/Owner 877-630-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-10-07 |