| NPI | 1750124830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY GUTHRIE CEO 888-522-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2026-06-29 |