| NPI | 1588190441 |
|---|---|
| Other Name | ST VINCENTS ONE NINETEEN IDTF |
| Entity Type | Organization |
| Authorized Contact | BRANDON WILLIAMS CFO 205-838-3766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-09-06 |