| NPI | 1497416861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA R BALI President 980-327-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-14 |