| NPI | 1225921265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARIS GALLOWAY CEO 980-483-9262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 305S00000X Point of Service | |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |