| NPI | 1578669586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE BENNETT Owner 606-337-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 720034) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |