| NPI | 1518004225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA STUBBS Supervisor Business Services 601-984-1925 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-06-12 |