| NPI | 1386519163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHA KHAN Director 324-234-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |