| NPI | 1679099253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EMANUELSEN President 205-612-1572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: AL I2813) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |