| NPI | 1487087003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO MARTINEZ President 423-328-3026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 44D2061419) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-01-29 |