| NPI | 1063776052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKECHUKWU H OKORIE Medical Director 601-544-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 19875) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-02-09 |