| NPI | 1124805981 |
|---|---|
| Former Legal Business Name | GLORIA'S PHLEBOTOMY SERVICE |
| Entity Type | Organization |
| Authorized Contact | LAURTHER R ADAMS Owner 662-336-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |