| NPI | 1396406781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYELLE DOTSON Phleboto MIS T 424-295-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 2083T0002X Preventive Medicine Medical Toxicology |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2023-02-25 |