| NPI | 1710321187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP POLLOCK President/Authorized Official 423-629-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 44D2055320) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |