| NPI | 1508275082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY L EVANS Principal 513-866-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TN 44D2080450) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2025-11-10 |