| NPI | 1770117095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT TYSON Director, Managed Care Contracting 615-477-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2026-07-13 |