| NPI | 1396538153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA M ODOM CEO/Administrator 463-221-2605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |