| NPI | 1700404142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A LISA L CUFFIE CEO 870-394-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-09-23 |