| NPI | 1255906426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE TRUMAN COX Director 507-258-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2022-12-14 |