| NPI | 1760077606 |
|---|---|
| Former Legal Business Name | PHASETWO LABS, LLC |
| Entity Type | Organization |
| Authorized Contact | TYLER HAYDEN Director Of Operations 423-838-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2022-11-02 |