| NPI | 1790509875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNEHSA DEWANNA MCGASKEY Owner 409-457-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-03-31 |