| NPI | 1851049431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQUIRAH SCREEN Owner 229-205-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-09-01 |