| NPI | 1326799552 | 
|---|---|
| Doing Business As | NPI | 
| Entity Type | Organization | 
| Authorized Contact | FAIZAN MOHAMMED President 872-310-9837  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory | 
| Enumeration Date | 2022-01-10 | 
| Last Update Date | 2025-01-08 |