| NPI | 1689294241 |
|---|---|
| Doing Business As | IGENOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | YU SONG Pharmacist In Charge 267-896-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |