| NPI | 1669046306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS PENA Project Manager 829-341-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-09-22 |