| NPI | 1780139543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH LEE ROSE Authorized Official 844-354-3246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-04-25 |