| NPI | 1437497674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENITA R JACKSON Phleboto MIS T/Owner 318-884-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: LA Q5P2L5Z7) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |