| NPI | 1629586458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BALLOW Vice President 702-817-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: NV NV20161669909) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2021-12-17 |