| NPI | 1497826036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M BRIDGER President 334-288-4963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL 5640) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-02-08 |