| NPI | 1770459588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA CANTREL RAINER Owner 346-735-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-12-18 |