| NPI | 1114355690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY BLACK Compliance Officer 901-725-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 3282) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |