| NPI | 1376275669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE CONTI Partner 683-312-7693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |