| NPI | 1306822960 |
|---|---|
| Doing Business As | MASG VASCULAR LAB, LLC |
| Entity Type | Organization |
| Authorized Contact | DEBRA J FUNCK Director 601-485-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |