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 |