| NPI | 1639279342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY GOLDSMITH COO 402-202-5823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 76855) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2025-11-28 |