| NPI | 1427631332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKORI UNIQUE GIVENS Owner 702-937-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |