| NPI | 1770102105 |
|---|---|
| Doing Business As | IGENOME CANCER INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | YU SONG CEO 267-896-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
| 261Q00000X Clinic/Center | |
| 291U00000X Clinical Medical Laboratory | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-20 |