| NPI | 1285456798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAIRA SHERROD Lab Director 346-740-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-10-26 |