| NPI | 1093093494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE WATSON Founder CEO 251-401-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL 2014-2728) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2017-05-04 |