| NPI | 1134510175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K WHISENHUNT President/Owner 937-760-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D2090245) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-05-12 |