NPI | 1528636594 |
---|---|
Entity Type | Organization |
Authorized Contact | DEYANIRA PENA PLACENCIA Owner 973-405-8595 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 251E00000X Home Health |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2021-06-15 |
Last Update Date | 2022-05-12 |