| NPI | 1578581104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALBERT BOWLES Vice President 866-697-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 44D0975929) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-10-25 |