NPI | 1255019113 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE WARD Director 386-845-4022 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
253Z00000X In Home Supportive Care | |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2023-07-10 |
Last Update Date | 2024-10-22 |