| NPI | 1699789685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JILL GERALDS Supervisor 270-651-2989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200129) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-08-02 |