| NPI | 1316837594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY C DAVIS Owner/Operator 601-790-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |