| NPI | 1821352576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISCHA NAKIA GWIN-WHITE Phlebotomist 708-543-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |