Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
EEG |
2472E0500X | 75 | Slide Preparation Facility |
| NPI Number | 1255841300 |
| LBN Legal business name | INNOVATIVE HEALTHCARE SERVICES LLC |
| Authorized official | LENA CAROSELLI - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/03/2017 |
| Last updated | 10/03/2017 - About 9 years ago |
| Identifiers | n/a |
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