| NPI | 1588088587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C THIGPEN Manager 888-414-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D2072678) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-10-28 |