| NPI | 1427543586 |
|---|---|
| Doing Business As | MAGNOLIA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PRADEEP RAI Director 303-209-5115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-07-09 |