| NPI | 1154353639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P JOHNSON Pathologist/Owner 334-749-8234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL 12339) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-26 |