| NPI | 1790656296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA D GALIARDI Owner 702-762-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR1100X Clinic/Center, Research |
| 253Z00000X In Home Supportive Care | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2026-04-27 |