| NPI | 1811881105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUNDREKIA TIERRA YOUNG Chief Executive Officer 251-406-5527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |