| NPI | 1003997610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L WILKINSON Director 601-484-3257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25D0651894) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-12-07 |