| NPI | 1780946517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M HIATT Manager 501-551-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AR E3291) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |