| NPI | 1134377781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN BEVERLY Contract Payor Specialist 256-755-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL L4557) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2021-10-14 |