| NPI | 1235200676 |
|---|---|
| Other Name | ETSU MEDICAL LABORATORIES |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 2298) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-08-22 |