| NPI | 1376138800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN KHAN President/Founder 347-909-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2021-03-10 |