| NPI | 1841887833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R SAMS Physician 877-502-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2020-12-24 |
| Last Update Date | 2021-01-06 |