| NPI | 1407615545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELILAH NSUME ESAMA CEO 572-243-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2026-06-04 |