| NPI | 1437690849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON J. KILGARLIN CEO 318-798-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 42273804K) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2018-05-24 |