NPI | 1619073442 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN F. EGAN Mgrm 870-926-3063 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800020748) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2008-07-31 |