| 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 |