| NPI | 1619662889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KANDE NGOLE Owner 301-254-9129 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 342000000X | |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |