| NPI | 1811646839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANDA ABIGAIL NUNNELLY-SPARKS Lab Director/Owner 417-499-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |