| NPI | 1790352912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA JANICE JOHLER Lead Tech/Owner 207-768-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-09 |