| NPI | 1386240786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA GASTON Senior Rcm Analyst 855-601-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-12-03 |