| NPI | 1730937004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON COOPER Owner 772-207-6391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-07-22 |