| NPI | 1144049495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIMMIE LYNN LEWIS Director 601-665-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |