| NPI | 1417601204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HARRELL Director 888-948-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |