| NPI | 1437032752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA STEPHENS Owner 419-260-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-31 |