| NPI | 1336929223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACHELLE GRIFFIN Chief Human Resource Officer 769-208-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2025-05-29 |