| NPI | 1386396646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER D THOMAS CEO 855-475-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |