| NPI | 1871443465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASELA MOYA Managing Member 276-260-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2026-02-02 |
| Last Update Date | 2026-09-23 |