| NPI | 1598171209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDA BALLOUT President 877-454-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CA150503) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2019-10-06 |