| NPI | 1659431690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R CAMPBELL President CEO 662-538-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25D0980066) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |