| NPI | 1063523926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNN JERNIGAN Manager 270-782-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200160) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-09-13 |