| NPI | 1346726122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANELLE LEWIS Organizer 347-313-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 246QL0900X Spec/Tech, Pathology, Laboratory Management |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-19 |