| NPI | 1598142895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADRICK O PITTS CEO 251-662-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL 01D2093765) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2022-06-15 |