| NPI | 1780406298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASSIEREN LATOYA DAVIS Authorized Representative 888-508-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-10-31 |