| NPI | 1336761923 |
|---|---|
| Former Legal Business Name | MAJL DIAGNOSTIC LABORATORIES LLC |
| Entity Type | Organization |
| Authorized Contact | DARRELL LAVON JOHNSON Credentialing Specialist 877-272-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-08-04 |