| NPI | 1922736214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE LANE Founder/CEO 815-386-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |