| NPI | 1518905124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HENDERSON Director Business Services 601-984-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-02-12 |