| NPI | 1598112427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ADAM SHIRLEY Laboratory General Supervisor 601-540-6974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |