| NPI | 1346991031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHMELIA LEWIS Owner 833-277-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-14 |