| NPI | 1275729733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALBERT BOWLES Vice President 866-697-8378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D1005669) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2023-12-18 |