| NPI | 1871685628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE DILLON Assistant Secretary 502-596-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IA 16D0387097) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-04-22 |