| NPI | 1053493460 |
|---|---|
| Doing Business As | CLINICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-268-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-10-07 |