| NPI | 1689321812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRZA K BAIG Authorized Official / Owner 331-315-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |