| NPI | 1487277901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN KUMAR CEO 844-420-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2023-11-01 |