| NPI | 1053686964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON CRAIN Finance Director 501-225-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2024-04-05 |