| NPI | 1710658497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TRENT BLACKETER VP Of Operations Finance 502-308-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-07-11 |