| NPI | 1801251129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY TYRONE LEE C.E.O. 901-870-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2022-07-21 |