NPI | 1780178764 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD WILSON Owner 678-561-3037 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 21D2149021) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-08-02 |