| NPI | 1619039047 |
|---|---|
| Former Legal Business Name | MICROPHASE CLINICAL LABORATORY INC |
| Entity Type | Organization |
| Authorized Contact | WALTER RHETT WOODY President 256-882-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL 12353) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-09-14 |