NPI | 1396798302 |
---|---|
Former Legal Business Name | SMG PLLC LABORATORY |
Entity Type | Organization |
Authorized Contact | ALTON SID KING Medical Director 615-230-8070 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 0000000544) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2023-06-13 |