| NPI | 1225723901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN MORRIS Owner 307-302-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QG0250X Clinic/Center, Genetics |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-07 |