| NPI | 1508376179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW YEATES CEO 985-951-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D2136454) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |