NPI | 1649636275 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE LYNN CAMILLO Owner 618-344-2920 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D2014386) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |