| NPI | 1871635706 |
|---|---|
| Doing Business As | SUPERIORHEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRY R JACOBSON CEO 2187-400-2330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MN 24D0404121) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2010-05-14 |