| NPI | 1316983000 |
|---|---|
| Other Name | BOTSFORD OUTREACH LAB |
| Entity Type | Organization |
| Authorized Contact | LEE ANN ODOM President Shared Services 947-522-3326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2021-10-18 |