| NPI | 1851278014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELECIA PETERS Owner 601-738-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 291900000X Military Clinical Medical Laboratory | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-21 |