| NPI | 1124331459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LISA SPEED CEO 901-214-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 110002821) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |