| NPI | 1043305188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES CAMPBELL Owner 601-587-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: MS 07101/11.1) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-01-30 |