| NPI | 1902567530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY KUMAR VERMA President 224-770-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-06-24 |