| NPI | 1154662880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY DON THREET Owner 501-850-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AR BL149153) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |