| NPI | 1699601856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE WEBB Owner/Director 864-810-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-06-23 |