| NPI | 1346847522 |
|---|---|
| Former Legal Business Name | BLUE MOUNTAIN DIAGNOSTICS, LLC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID ALEXANDER Owner 864-907-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2024-12-03 |