| NPI | 1871265793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BIDDIX Owner 321-616-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2022-11-21 |