| NPI | 1225098551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA W BEIER CEO 229-353-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 20344) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: GA 035467) |
| 291U00000X Clinical Medical Laboratory (Licence: GA 044378) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-02-21 |