| NPI | 1568290823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA SELDERS Owner/Phlebotomist 662-276-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |