| NPI | 1639880016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE NICOLE LOPP Phlebotomist 234-281-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 331L00000X Blood Bank |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |