| NPI | 1649320227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D DEDMAN Owner 870-535-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AR 04D0465285) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |