| NPI | 1720690415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE D HUNTER Lab Director 803-801-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2024-12-09 |