| NPI | 1265042592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRADY LEE PHILLIPS President 205-965-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207SM0001X Medical Genetics, Molecular Genetic Pathology |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2022-10-05 |