| NPI | 1003773656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WILSON Clinical Laboratory Director 844-677-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |