| NPI | 1639379738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE BLEVINS Office Manager 334-263-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL 9178) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2012-09-07 |