| NPI | 1386778223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L PIRAYESH Executive Director 307-472-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |