| NPI | 1235369208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVESH K GOEL Physician 601-859-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 15405) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |