| NPI | 1851052161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA POTIHA Cofounder 855-708-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR0200X Clinic/Center, Radiology | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-05-04 |