| NPI | 1386240786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFA RAOFI VP Of Rcm 385-375-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2023-03-30 |