| NPI | 1730370164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE ANN WRATHER Laboratory Director 662-243-2013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25D0320164) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-12-10 |