| NPI | 1649933391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA LATIMORE Co Owner 478-452-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-20 |