| NPI | 1700591641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY AMMON President/Chief Operating Officer 502-244-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |