| NPI | 1134725690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MCDONNIEAL Director Of Operations 601-425-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0007X Pathology Molecular Genetic Pathology |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |