| NPI | 1124507595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYEN PATEL CEO 901-578-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 44D2053717) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |