| NPI | 1710647847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHERRA BROOKS Mobile Phleboto MIS T 267-401-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |