| NPI | 1912738436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BORZA Owner/Authorized Official 800-940-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-16 |