| NPI | 1336861897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYANA DENISE GONZALEZ Administrator 414-530-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-06-26 |