| NPI | 1356394381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GALPHIN Owner 803-786-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: SC 42d1050919) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-12-05 |