Organization · NPI-2
Energy Renewal Revolutionized Unltd. LLC
Spec/Tech, Pathology, Laboratory Management, Diplomate · Bronx, NY
NPI number1972458909
StatusActive
Last updated in NPPESMar 4, 2026
Details
- NPI
- 1972458909
- Entity type
- Organization (NPI-2)
- Legal business name
- Energy Renewal Revolutionized Unltd. LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2026
- Certification date
- Mar 1, 2026
- Last updated
- Mar 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246QL0901X | Spec/Tech, Pathology, Laboratory Management, Diplomate | – | – | Yes |
Practice location
1039 Washington AveBronx, NY 10456
Phone 833-912-3998 · Fax 929-644-6597
Mailing address
1039 Washington AveBronx, NY 10456
Phone 833-912-3998 · Fax 929-644-6597
Authorized official
David Lamar Hall
Principal Investigator
9299091468
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