| NPI | 1497439277 |
|---|---|
| Former Legal Business Name | EXTRACT LABS & DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | EBONY STEPHANIE LORA Owner 347-851-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |