| NPI | 1356744940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MOCK Executive Director 423-718-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |