NPI | 1194978122 |
---|---|
Entity Type | Organization |
Authorized Contact | JANNA M BARKER Credentialing 225-706-0513 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
Enumeration Date | 2008-11-04 |
Last Update Date | 2024-06-25 |