NPI | 1740572221 |
---|---|
Entity Type | Organization |
Authorized Contact | OSVALDO ANTONIO SCHIRRIPA Director/Owner 541-749-8196 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD153157) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA A46201) |
261QH0100X Clinic/Center, Health Services (Licence: OR MD153157) | |
Enumeration Date | 2011-05-03 |
Last Update Date | 2012-03-14 |