| NPI | 1134559073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENDERSON WILBORN President/Director 901-300-6451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 44D2067576) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |