| NPI | 1447061346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINATA SADDY Owner 443-430-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-11-04 |