| NPI | 1770626640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION DWIGHT Director 803-245-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D0248536) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |