| NPI | 1689971822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT MURDOCK CEO 877-335-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 20928) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2015-12-23 |