| 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 |