| NPI | 1003745324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNIECE WATSON Owner/Employee 574-514-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-05-18 |