| NPI | 1346271251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ELDREDGE Chief Financial Officer 339-927-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-03-10 |