| NPI | 1932853918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED HASSAN ABU REALH Member Manager 708-529-5503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-08-17 |