| NPI | 1700861895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V STEVENS Administrative Director 901-448-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 3232) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2020-08-22 |