| NPI | 1356374912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUU T DUONG Member 601-362-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 25D0688888) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-09-24 |