NPI | 1669458634 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY M. HELMS Medical Director 423-224-6718 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 3354) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 3354) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2016-10-20 |