NPI | 1699350371 |
---|---|
Former Legal Business Name | INFINITE MEDICAL GROUP, LLC |
Other Name | INFINITE MEDICAL GROUP, LLC |
Entity Type | Organization |
Authorized Contact | RONNY LEE UPP President 302-644-8880 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2021-03-14 |
Last Update Date | 2021-03-14 |