NPI | 1770164527 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY BRENT Owner 571-424-2288 |
Organization Subpart ? | No |
Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
Additional Taxonomies | 246R00000X Technician, Pathology |
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
Enumeration Date | 2021-04-14 |
Last Update Date | 2021-04-14 |