| NPI | 1669130084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA SABASTRO Owner 800-354-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2022-11-17 |