| NPI | 1043343536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200235) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-12-01 |