| NPI | 1750923520 |
|---|---|
| Doing Business As | MIRA SCIENTIFIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTAL GOLSTON CEO 866-324-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2023-02-07 |