NPI | 1235795352 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK BRIAN GIPE Partner 270-685-1066 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-12-19 |