| NPI | 1245509447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY HENSLEY Manager 606-878-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 18D2031301) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |