NPI | 1255473906 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNEST ROY STUART Administrator 662-726-5831 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25D0318770) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-08-22 |