| NPI | 1386953966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX A TUNGATE CEO, Administrator 270-932-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 600077) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-10-06 |