| NPI | 1306916937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA G SPARACINO Pathologist 601-573-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: MS 16044) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MS 16044) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-02-04 |