| NPI | 1972249829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNAID MOHAMMED Authorized Official 469-427-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-07-03 |