| NPI | 1255479630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL ADCOCK Chief Operations Officer 601-576-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |