| NPI | 1659145449 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MUSBAU ENITAN Operation Manager 202-415-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |