| NPI | 1063358752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAPOLEON RUCKER C.E.O 833-745-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246Q00000X Spec/Tech, Pathology |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-04-27 |