| NPI | 1407678501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA WILDS President / CEO 865-659-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |