| NPI | 1982404190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIK CHASE CEO 267-264-8845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |