| NPI | 1346178951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE KING CEO 686-208-8491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-14 |