| NPI | 1558009480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN K KAMA Owner 808-979-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-09-13 |