| NPI | 1023761756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI THOMAS Owner 228-342-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-22 |