| NPI | 1891266557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDYN GARNER President 773-960-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2021-09-20 |