| NPI | 1093889347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ANN JETTON President 479-968-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-05-31 |