| NPI | 1265601546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEREE SIONE' OWENS Owner/Administrator 757-358-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |