| NPI | 1114051828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYABO MURAINA Business Manager 478-744-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 044029) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-01-10 |