| NPI | 1356405120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA LAWSON Contract Manager 423-857-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology Medical Laboratory |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-12-08 |