| NPI | 1699402453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHHENICIA SORRELS Director 601-618-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |