| NPI | 1508915349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M STECKER Owner 601-442-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25D0317699) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |