NPI | 1336408996 |
---|---|
Doing Business As | ETSU QUILLEN FERTILITY AND WOMEN'S SERVICES |
Entity Type | Organization |
Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 4210) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2018-08-22 |