| NPI | 1295894970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P FIELDS Authorized Official Of Organization 615-386-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 207N00000X) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TN 2178) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |