| NPI | 1922855196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINZELLA POWELL Owner 800-567-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-05-04 |