| NPI | 1033074299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA CRUICKSHANK Owner 470-974-0743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |