| NPI | 1497581979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA LANITA MOORE Phlebotomist/Owner 912-403-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |