| NPI | 1184692584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BYRD Owner 307-272-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WY GN 0769-11) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-03-28 |