| NPI | 1528456795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN HANLEY Owner 901-336-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 10514968#D5P83) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |