| NPI | 1356946164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY AMMON CFO 502-244-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2021-06-15 |