| NPI | 1467131441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON HOFFNUNG Owner 608-571-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-10-11 |