| NPI | 1417266875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L. BERTRAM President 270-866-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200321) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |