| NPI | 1366877508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN SLACK CEO 855-329-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: CA 00050469) |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2025-06-05 |