| NPI | 1568233989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APOLLONIA FULLER Owner/Phlebotomist 217-870-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |