| NPI | 1568569796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE A MAMMARELLI President / CEO 615-781-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 0000003268) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-11-19 |