| NPI | 1083397186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET NICOLE GORDON CEO/ Clinical Director 502-922-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-06-06 |