| NPI | 1659435998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY W GASTON CEO 318-387-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D1019712) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |