| NPI | 1164173589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA REID CEO 980-777-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2023-05-15 |