| NPI | 1659922680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONI H AMIEL Owner 888-552-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2021-09-10 |