| NPI | 1225834732 |
|---|---|
| Doing Business As | USA HEALTH PROVIDENCE HOSPITAL INDEPENDENT LABORATORY |
| Entity Type | Organization |
| Authorized Contact | BENNY JOSEPH STOVER CFO 251-445-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-25 |