| NPI | 1538112420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA OGANYAN President 972-346-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-05-11 |