| NPI | 1730007576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK S STANLEY Manager 346-396-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-08-06 |