| NPI | 1659588705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WADE JENKINS Medical Laboratory Technician 859-757-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-08-18 |