| NPI | 1568054450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNA BOCHICCHIO President, Managing Member 678-456-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-05-10 |