| NPI | 1356072318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HAIK Managing Partner 225-390-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-06-16 |