| NPI | 1366029282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEMI BARRETT Owner 229-603-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-04-05 |