| NPI | 1043658966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY L. STODDARD President And CEO 256-714-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL L45100) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: AL L37174) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2017-04-05 |