| NPI | 1114180619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON SID KING Medical Director 615-230-8070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 0000000544) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |