| NPI | 1376231043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTHIE CONSUELA NTANDJA Owner/Phlebotomist 773-577-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |