| NPI | 1205468204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE ROBINETTE Owner Operator 234-521-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-11-10 |