| NPI | 1609878966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T RICE President 276-783-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D0232506) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2009-09-22 |