| NPI | 1477557882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL KELLY Office Manager 270-688-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200254) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-08-22 |