| NPI | 1063406320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L BRILES Administrator 256-332-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL 09778) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2007-08-01 |