| NPI | 1578806576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE E BEALL President 859-494-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 29531) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |