| NPI | 1144713587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA LATRICE WILLIAMS BAUGH Owner/Phlebotomist 763-381-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |