| NPI | 1871811976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK C LUEKENGA Owner 855-864-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-04-08 |