| NPI | 1497269120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E BALENTINE Managing Partner 615-521-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 44D2125377) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |