| NPI | 1841798667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHAKAR KANCHARLA Authorized Official 205-994-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AL 01D2141620) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2022-05-27 |