| NPI | 1124123260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE ANN MORGAN Practice Administrator 901-747-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |