| NPI | 1528956570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MILLER CEO 702-524-0367 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |