| NPI | 1932886330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL W HERDZINA Owner 405-810-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QG0250X Clinic/Center Genetics | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |