| NPI | 1730775016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MINTON Owner 502-939-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |