| NPI | 1619550597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA MARTINEZ GOMEZ Owner 402-413-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-05-14 |