| NPI | 1467044438 |
|---|---|
| Doing Business As | IMMYLABS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN HEEFNE Vice President And General Counsel 405-360-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2022-05-12 |