| NPI | 1699773077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY LOUDERMILK CFO 229-312-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 047-003) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |