| NPI | 1043458730 |
|---|---|
| Other Name | MIP |
| Entity Type | Organization |
| Authorized Contact | PHILLIP RODNEY BOWDEN Medical Director 901-272-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 44D0912700) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |