| NPI | 1134076508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWANETTE FELICIA THOMPSON Owner/ Collection Specialist 866-484-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2026-03-13 |
| Last Update Date | 2026-03-13 |