| NPI | 1083803167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO JUNIUS Director Of Billing & Collections 985-875-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2009-07-28 |