| NPI | 1689751141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA M WILLIAMS President 379-297-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0676028) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-05-24 |