| NPI | 1295736841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL MARIE GILLIAM Laboratory Manager 606-886-6302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200111) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2007-12-31 |